Displaying 205481-205490 of 1611142 results.
ID:
205481
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1251334
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205482
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1190110
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205483
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1368459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205484
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
751970
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205485
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
836358
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205486
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
349590
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205487
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311286
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205488
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
242754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205489
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1191250
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205490
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
207373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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